NPIMap

Organization Active NPI

HCMC Ambulatory Pharmacy

  • Pharmacist
  • Minneapolis, MN
National Provider Identifier
1568804367
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
264154 Issued in MN
Legal business name
HCMC AMBULATORY PHARMACY
Practice address
701 Park Ave
RL Pharmacy
Minneapolis, MN 55415-1623
Phone
(612) 873-6311
NPI assigned
Jul 22, 2013
Organization subpart
Yes
Parent organization
HENNEPIN HEALTHCARE SYSTEMS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Haley Holtan, PHARMD
Title
Ambulatory Pharmacist Manager
Phone
(612) 873-6311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 264154 MN Primary

Addresses

Primary practice location

701 Park Ave
RL Pharmacy
Minneapolis, MN 55415-1623

Mailing address

701 Park Ave
RL Pharmacy
Minneapolis, MN 55415-1623
Phone (612) 873-6311

National Provider Directory

National Provider Directory
Tax ID family
Hennepin Healthcare System Inc16 organizations share this tax ID, including this one
Part of
Hennepin Healthcare System Inc

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

701 Park Ave
Ste 1100
Minneapolis, MN 55415

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1568804367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PARK AVE",
            "address_2": "RL PHARMACY",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151623",
            "telephone_number": "612-873-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PARK AVE",
            "address_2": "RL PHARMACY",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151623",
            "telephone_number": "612-873-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HCMC AMBULATORY PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HENNEPIN HEALTHCARE SYSTEMS, INC",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "HOLTAN",
        "authorized_official_first_name": "HALEY",
        "authorized_official_title_or_position": "AMBULATORY PHARMACIST MANAGER",
        "authorized_official_telephone_number": "612-873-6311",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "264154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.